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Nebraska rates for HCPCS L6026

Transcarpal/metacarpal or partial hand disarticulation prosthesis, external power, self-suspended, inner socket with removable forearm section, electrodes and cables, two batteries, charger, myoelectric control of terminal device, excludes terminal device(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,603.33 / $3,603.33 / $3,603.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,603.33 / $3,603.33 / $4,248.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,966.14 / $5,462.76 / $5,517.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,323.97 / $6,215.41 / $6,215.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,323.97 / $6,215.41 / $9,584.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,603.33 / $6,184.83 / $25,033.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.23 / $3,217.33 / $4,488.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,197.22 / $6,215.41 / $11,877.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,917.04 / $7,260.45 / $13,046.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.89 / $2,818.90 / $4,488.70